Provider Demographics
NPI:1538164124
Name:ALTIERI, FRANK P (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:P
Last Name:ALTIERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10528 BELLAGIO DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-7008
Mailing Address - Country:US
Mailing Address - Phone:716-310-7706
Mailing Address - Fax:
Practice Address - Street 1:10528 BELLAGIO DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-7008
Practice Address - Country:US
Practice Address - Phone:716-310-7706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2016-05-26
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
NY153177207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0454390001OtherMEDICARE-DME
NY0454390001OtherMEDICARE-DME
NYA88031Medicare ID - Type Unspecified